Organization
WEST POINT INTERNAL MEDICINE CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMUND ANDERSON MILLER JR. M.D. (OWNER)
(662) 377-4685
Entity
Organization
Contact information
Practice address
830 MEDICAL CENTER DR, WEST POINT, MS 39773-9319
(662) 377-4685
Mailing address
830 MEDICAL CENTER DR, WEST POINT, MS 39773-9319
(662) 377-4685
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28771
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115012
—
MS
Enumeration date
08/21/2009
Last updated
04/18/2011
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